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Development and Validation of a Brief Version of the Difficulties in Emotion Regulation Scale: The DERS-16
Open accessAbstract
The Difficulties in Emotion Regulation Scale (DERS) is a widely-used, theoretically-driven, and psychometrically-sound self-report measure of emotion regulation difficulties. However, at 36-items, the DERS may be challenging to administer in some situations or settings (e.g., in the course of patient care or large-scale epidemiological studies). Consequently, there is a need a briefer version of the DERS. The goal of the present studies was to develop and evaluate a 16-item version of the DERS - the DERS-16. The reliability and validity of the DERS-16 were examined in a clinical sample (N = 96) and two large community samples (Ns = 102 and 482). The validity of the DERS-16 was evaluated comparing the relative strength of the association of the two versions of the DERS with measures of emotion regulation and related constructs, psychopathology, and clinically-relevant behaviors theorized to stem from emotion regulation deficits. Results demonstrate that the DERS-16 has retained excellent internal consistency, good test-retest reliability, and good convergent and discriminant validity. Further, the DERS-16 showed minimal differences in its convergent and discriminant validity with relevant measures when compared to the original DERS. In conclusion, the DERS-16 offers a valid and brief method for the assessment of overall emotion regulation difficulties.
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“A total score was calculated using the remaining five subscales (30 items total), consistent with a recently developed short-form measure (DERS-SF-5; Bjureberg et al., 2016). The α for the included scales ranged from .82 to .90.”
From Facets of Mindfulness Mediate the Relationship Between Attachment Orientation and Emotion Regulation in University Students (2024) · cites this paper as Bjureberg et al., 2016
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“The DERS-16 has good psychometric properties in adolescents [159]”
From Efficacy of a transdiagnostic Internet prevention approach in adolescents (EMPATIA study): study protocol of a randomized controlled trial (2024) · cites this paper as [159]
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“It uses a 5-point Likert scale and has shown acceptable test-retest reliability and internal consistency in adolescent populations [137-140].”
From Family Support Protocol for Adolescent Internalizing Disorders: Protocol for a Pre-Post Quantitative Treatment Development Study (2024) · cites this paper as [137]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
In the citing paper
“The DERS’s psychometric properties are favorable, having moderate to very strong internal consistency (α=.69-.97) and strong retest reliability (r=0.88; ρI=0.85) [29, 46-49].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
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“DERS-16 reported good test–retest reliability [46] and excellent internal consistency (Cronbach’s alphas between 0.87 and 0.96) [47].”
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“Correlating with anxiety, depression, stress, borderline traits, and more, the DERS-16 has good construct validity [29,47,50].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
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“The DERS-16 is a short, valid measure of emotion regulation [29,44].”
From A Virtual Reality-Assisted Cognitive Behavioral Therapy for and With Inuit in Québec: Protocol for a Proof-of-Concept Randomized Controlled Trial (2023) · cites this paper as [29]
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“Findings that none of the items from the lack of emotional awareness subscale was retained on the basis of the item-total correlations are consistent with past research indicating that this subscale is less strongly associated with the overall DERS score than the other subscales (Neumann, van Lier, Gratz, & Koot, 2010…”
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“2006), major depression (Ehring et al. 2010), eating disorders (Whiteside et al.”
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“However, it is important to note that although previous studies of the original DERS revealed gender differences in some of the DERS subscales (e.g., Gratz & Roemer, 2004; Neumann et al., 2010; Weinberg & Klonsky, 2009), these differences have not generally been found for the total score on this measure (Gratz & Roeme…”
ResultSelf-citationAn experimental investigation of emotion dysregulation in borderline personality disorder
Gratz, K. L., Rosenthal, M. Z., Tull, M. T., Lejuez, C. W., & Gunderson, J. G. (2006) · Journal of Abnormal Psychology · doi:10.1037/0021-843x.115.4.850 · Cited by 518 · cited 1×
“, 2014), and behavioral (e.g., persistence on laboratory-based distress-inducing tasks; Gratz et al., 2006; Tull, Gratz, Latzman, Kimbrel, & Lejuez, 2010) indices of emotion regulation.”
Self-citationMeasurement of emotion dysregulation in adolescents
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“2010; Weinberg and Klonsky 2009), these differences have not generally been found for the total score on this measure (Gratz and Roemer 2004; Tull et al. 2007; Weinberg and Klonsky 2009).”
BackgroundResultRevealing feelings: Facets of emotional expressivity in self-reports, peer ratings, and behavior.
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“Moreover, there is evidence to suggest that lack of emotional clarity (a dimension of emotion regulation that is represented in the DERS-16) is more relevant to both psychopathology and the overarching emotion regulation construct than lack of emotional awareness when emotional awareness and clarity are separated as i…”
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Self-citationEmotion dysregulation and risky sexual behavior in revictimization
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“Moreover, there is evidence to suggest that lack of emotional clarity (a dimension of emotion regulation that is represented in the DERS-16) is more relevant to both psychopathology and the overarching emotion regulation construct than lack of emotional awareness when emotional awareness and clarity are separated as i…”
BackgroundSelf-citationCharacteristics of emotion regulation in recovered depressed versus never depressed individuals
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An examination of the latent structure of the difficulties in emotion regulation scale.
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“This finding is consistent with evidence that the lack of emotional awareness subscale may be less relevant to the overarching construct of emotion regulation difficulties as assessed by the DERS (Bardeen et al., 2012).”
ResultEmotion regulation as a mechanism of change in acceptance- and mindfulness-based treatments.
Gratz, K. L., & Tull, M. T. (2010) · Cited by 292
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Targeting emotion dysregulation in the treatment of self‐injury
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“that was developed to be applicable to a wide variety of psychological difficulties and relevant to clinical applications and treatment development (Gratz 2007; Gratz and Tull 2010).”
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“Moreover, there is evidence to suggest that lack of emotional clarity (a dimension of emotion regulation that is represented in the DERS-16) is more relevant to both psychopathology and the overarching emotion regulation construct than lack of emotional awareness when emotional awareness and clarity are separated as i…”
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Fliege, H., Kocalevent, R.-D., Walter, O., Beck, S., Gratz, K. L., Gutierrez, P. M., & Klapp, B. F. (2006) · Journal of Psychosomatic Research · doi:10.1016/j.jpsychores.2005.10.006 · Cited by 205 · cited 1×
“The DSHI has demonstrated good internal consistency, adequate test–retest reliability, and adequate construct, discriminant, and convergent validity among undergraduate student, community adult, and patient samples (Fliege et al., 2006; Gratz, 2001; Gratz et al., 2011).”
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“Although there are several empirically-supported measures of various dimensions of emotion regulation difficulties (e.g., emotional nonacceptance, lack of emotional awareness and clarity; Bagby et al. 1994; Hofmann and Kashdan 2010; Simons and Gaher 2005) and putatively adaptive and maladaptive emotion regulation stra…”
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“Ott, & Nandrino, 2014), neurological (e.g., amygdala habituation; Goodman et al., 2014), and behavioral (e.”
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“Finally, scores on the DERS have been found to change in response to treatments that target emotion regulation, including an emotion regulation group therapy (Gratz et al. 2015; Gratz et al. 2014) and dialectical behavior therapy (Ben-Porath et al.”
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“The DERS has also demonstrated associations with biological (e.g., magnitude of rostral anterior cingulate cortex activation; Li et al., 2008), psychophysiological (e.”
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“The Borderline Evaluation of Severity over Time (BEST; Pfohl et al. 2009) is a 15-item self-report measure of BPD symptom severity, or the degree of impairment from each of the 9 BPD criteria during the past month.”
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“Although this may limit the amount of information one can obtain from the DERS-16, there is a substantial amount of research that supports the utility of using a global score to evaluate emotion regulation difficulties within various forms of psychopathology (e.g., Kuo, Khoury, Metcalfe, Fitzpatrick, & Goodwill, 2015;…”
BackgroundEntwicklung der Borderline- Symptom-Liste1
Bohus, M., Limberger, M. F., Frank, U., Sender, I., Gratwohl, T., & Stieglitz, R. (2001) · PPmP - Psychotherapie · Psychosomatik · Medizinische Psychologie · doi:10.1055/s-2001-13281 · Cited by 154
Reinforcement Sensitivity Theory and emotion regulation difficulties: A multimodal investigation
Tull, M. T., Gratz, K. L., Latzman, R. D., Kimbrel, N. A., & Lejuez, C. W. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.08.010 · Cited by 140 · cited 1×
“Findings that none of the items from the lack of emotional awareness subscale was retained on the basis of the item-total correlations are consistent with past research indicating that this subscale is less strongly associated with the overall DERS score than the other subscales (Neumann, van Lier, Gratz, & Koot, 2010…”
ResultSelf-citationTurner, B. J., Layden, B. K., Butler, S. M., & Chapman, A. L. (2013) · Archives of Suicide Research · doi:10.1080/13811118.2013.802660 · Cited by 135
Tull, M. T., Weiss, N. H., Adams, C. E., & Gratz, K. L. (2012) · Addictive Behaviors · doi:10.1016/j.addbeh.2012.05.001 · Cited by 121 · cited 1×
“2015), risky sexual behavior (Tull et al. 2012), and purging behavior (Lavender et al.”
BackgroundSelf-citationGratz, K. L., Bardeen, J. R., Levy, R., Dixon–Gordon, K. L., & Tull, M. T. (2014) · Behaviour Research and Therapy · doi:10.1016/j.brat.2014.12.005 · Cited by 116 · cited 1×
“Finally, scores on the DERS have been found to change in response to treatments that target emotion regulation, including an emotion regulation group therapy (Gratz et al. 2015; Gratz et al. 2014) and dialectical behavior therapy (Ben-Porath et al.”
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Self-citationEffects of Emotion Regulation Difficulties on the Tonic and Phasic Cardiac Autonomic Response
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“gy (e.g., Kuo et al. 2015; Stevens et al. 2013; Tull 2006; Tull et al. 2009) and in predicting maladaptive behaviors (Gratz and Tull 2010; Messman-Moore et al.”
BackgroundSelf-citationIs Avoidant Personality Disorder More Than Just Social Avoidance?
Taylor, C. T., Laposa, J. M., & Alden, L. E. (2004) · Journal of Personality Disorders · doi:10.1521/pedi.18.6.571.54792 · Cited by 105 · cited 1×
“1994; Hofmann and Kashdan 2010; Simons and Gaher 2005) and putatively adaptive and maladaptive emotion regulation strategies (e.g., emotional avoidance, expressive suppression; Gross and John 2003; Taylor et al. 2004), one comprehensive measure of emotion regulation difficulties that has received extensive attention w…”
BackgroundDimensions of Emotion Dysregulation in Bulimia Nervosa
Lavender, J. M., Wonderlich, S. A., Peterson, C. B., Crosby, R. D., Engel, S. G., Mitchell, J. E., Crow, S. J., Smith, T. L., Klein, M. H., Goldschmidt, A. B., et al. (2014) · European Eating Disorders Review · doi:10.1002/erv.2288 · Cited by 103 · cited 1×
“In addition, emotion regulation difficulties as assessed by the DERS are related to a number of maladaptive behaviors thought to serve an emotion regulating function, such as deliberate self-harm (Gratz & Roemer, 2008), substance use (Tull, Bardeen, DiLillo, Messman-Moore, & Gratz, 2015), risky sexual behavior (Tull,…”
MethodGratz, K. L., Hepworth, C., Tull, M. T., Paulson, A., Clarke, S., Remington, B., & Lejuez, C. W. (2010) · Comprehensive Psychiatry · doi:10.1016/j.comppsych.2010.04.009 · Cited by 101 · cited 1×
“The DSHI has demonstrated good internal consistency, adequate test–retest reliability, and adequate construct, discriminant, and convergent validity among undergraduate student, community adult, and patient samples (Fliege et al., 2006; Gratz, 2001; Gratz et al., 2011).”
BackgroundSelf-citationTull, M., Bardeen, J., DiLillo, D., Messman-Moore, T. L., & Gratz, K. L. (2014) · Journal of Anxiety Disorders · doi:10.1016/j.janxdis.2014.11.003 · Cited by 85 · cited 1×
“In addition, emotion regulation difficulties as assessed by the DERS are related to a number of maladaptive behaviors thought to serve an emotion regulating function, such as deliberate selfharm (Gratz and Roemer 2008), substance use (Tull et al. 2015), risky sexual behavior (Tull et al.”
BackgroundSelf-citationSchmidt∗, R. E., Gay, P., Courvoisier, D. S., Jermann, F., Ceschi, G., David, M., Brinkmann, K., & der Linden, M. V. (2009) · Journal of Personality Assessment · doi:10.1080/00223890902935738 · Cited by 77 · cited 1×
“80; Muris, Merckelbach, & Horselenberg, 1996) and construct validity (Muris et al., 1996; Schmidt et al., 2009; Wegner & Zanakos, 1994) of this measure.”
Psychometric properties of a short form of the Affective Lability Scale (ALS-18)
Look, A. E., Flory, J. D., Harvey, P. D., & Siever, L. J. (2010) · Personality and Individual Differences · doi:10.1016/j.paid.2010.03.030 · Cited by 68
Self-injurious behaviors in posttraumatic stress disorder: An examination of potential moderators
Dixon-Gordon, K. L., Tull, M. T., & Gratz, K. L. (2014) · Journal of Affective Disorders · doi:10.1016/j.jad.2014.05.033 · Cited by 59 · cited 1×
“Consistent with past research (Dixon-Gordon et al. 2014; Gratz and Tull 2012; Turner et al. 2013), a deliberate self-harm frequency variable was computed by summing the total number of deliberate selfharm episodes reported in the past 4 months and a deliberate self-harm versatility index was computed by summing the nu…”
MethodSelf-citationTull, M. (2006) · Cognitive Therapy and Research · doi:10.1007/s10608-006-9036-7 · Cited by 56 · cited 1×
“gy (e.g., Kuo et al. 2015; Stevens et al. 2013; Tull 2006; Tull et al. 2009) and in predicting maladaptive behaviors (Gratz and Tull 2010; Messman-Moore et al.”
BackgroundSelf-citationGratz, K. L., & Tull, M. T. (2012) · Psychiatry Research · doi:10.1016/j.psychres.2012.03.025 · Cited by 46 · cited 1×
“Consistent with past research (Dixon-Gordon et al. 2014; Gratz and Tull 2012; Turner et al. 2013), a deliberate self-harm frequency variable was computed by summing the total number of deliberate selfharm episodes reported in the past 4 months and a deliberate self-harm versatility index was computed by summing the nu…”
MethodSelf-citationBen‐Porath, D. D., Federici, A., Wisniewski, L., & Warren, M. (2014) · Journal of Contemporary Psychotherapy · doi:10.1007/s10879-014-9271-2 · Cited by 42 · cited 1×
“2014) and dialectical behavior therapy (Ben-Porath et al. 2014), suggesting that the measure is sensitive to change over time and has utility in treatment outcome research.”
BackgroundHamilton, N. A., Karoly, P., Gallagher, M. W., Stevens, N. R., Karlson, C., & McCurdy, D. (2007) · Cognitive Therapy and Research · doi:10.1007/s10608-007-9163-9 · Cited by 34 · cited 3×
“The TEARS demonstrates good internal consistency and construct validity (Hamilton et al., 2007), and was administered to sample 2 only.”
BackgroundMethodInfluential
Research works printed but not linked: 1
- Kring, A. M., & Werner, K. H. (2004). Emotion regulation in psychopathology. In P. Philippot, & R. S. Feldman (Eds.), The regulation of emotion (pp. 359–385). Mahwah, NJ: Lawrence Erlbaum Associates.
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Wolff, J. C., Thompson, E., Thomas, S. A., Nesi, J., Bettis, A. H., Ransford, B., Scopelliti, K., Frazier, E. A., & Liu, R. T. (2019) · European Psychiatry · doi:10.1016/j.eurpsy.2019.03.004 · Cited by 512
Hallion, L. S., Steinman, S. A., Tolin, D. F., & Diefenbach, G. J. (2018) · Frontiers in Psychology · doi:10.3389/fpsyg.2018.00539 · Cited by 464
“Finally, we briefly examined the psychometric properties of three recently published short forms of the DERS (e.g., DERS-16, Bjureberg et al., 2016; DERS-SF, Kaufman et al., 2016; and DERS18, Victor and Klonsky, 2016) to evaluate the extent to which these measures performed comparably to the…”
BackgroundInfluentialProblematic video game use as an emotional coping strategy: Evidence from a sample of MMORPG gamers
Blasi, M. D., Giardina, A., Giordano, C., Coco, G. L., Tosto, C., Billieux, J., & Schimmenti, A. (2019) · Journal of Behavioral Addictions · doi:10.1556/2006.8.2019.02 · Cited by 284
A Measure of Nature Connectedness for Children and Adults: Validation, Performance, and Insights
Richardson, M., Hunt, A., Hinds, J., Bragg, R., Fido, D., Petronzi, D., Barbett, L., Clitherow, T. J., & White, M. P. (2019) · Sustainability · doi:10.3390/su11123250 · Cited by 260
“- The 16-item Difficulties in Emotion Regulation Scale (DERS; [51]) was used to indicate ease of affect regulation.”
MethodWestrupp, E. M., Bennett, C., Berkowitz, T. S., Youssef, G. J., Toumbourou, J. W., Tucker, R., Andrews, F. J., Evans, S., Teague, S. J., Karantzas, G. C., et al. (2021) · European Child & Adolescent Psychiatry · doi:10.1007/s00787-021-01861-z · Cited by 271
“Emotion regulation The 16-item version of the Difficulties in Emotion Regulation Scale-16 [69] assessed difficulties in parent emotion regulation.”
Method
Metadata
- Authors
- Bjureberg, J., Ljótsson, B., Tull, M. T., Hedman, E., Sahlin, H., Lundh, L.-G., Bjärehed, J., DiLillo, D., Messman-Moore, T., Gumpert, C. H., & Gratz, K. L.
- Affiliations
- Karolinska Institutet (SE)
- University of Mississippi Medical Center (US)
- Lund University (SE)
- University of Nebraska–Lincoln (US)
- Corresponding author
- Bjureberg, Johan
- ORCID
- Venue
- Journal of Psychopathology and Behavioral Assessment
- Published
- 2015-09-14
- Volume
- 38
- Issue
- 2
- Pages
- 284-296
- ISSN
- 0164-0305 (ISSN-L)
- 0882-2689
- 1573-3505
- PMC
- PMC4882111
- OpenAlex
- W2172838886
- Cited by
- 1,081
- References
- 76
- Citations by year
- 2026: 217 · 2025: 186 · 2024: 170 · 2023: 151 · 2022: 128 · 2021: 104 · 2020: 61 · 2019: 38 · 2018: 19 · 2017: 6 · 2016: 1
- FWCI
- 13.10
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Psychopathology and Behavioral Assessment (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Lund University Publications (Lund University) (submittedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD062226)
- Topics
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- Difficulties in Emotion Regulation Scale, emotional dysregulation, scale shortening, psychometric validation, self-report measures, psychopathology, convergent and discriminant validity, test-retest reliability, internal consistency
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